{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:12:08Z","timestamp":1774548728769,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p> OBJECTIVE:  To evaluate the association between the consumption of psychoactive substances (tobacco, alcohol and illicit drugs) and demographic variables, mental health and family context among school-aged children.  METHODS:  The National Adolescent School-based Health Survey was held with a national sample of 109,104 students. Data regarding demographic variables, family background and mental health were collected. Logistic regression was used to evaluate the associations of interest.  RESULTS:  Multivariate analyses showed that alcohol consumption was higher among girls, drug experimentation was more frequent among boys and that there was no difference between sexes for smoking. Being younger and mulatto were negatively associated with the use of tobacco, alcohol and illicit drugs. Also negatively associated with such risk behaviors were characteristics of the family context represented by: living with parents, having meals together and parental supervision (when parents know what the child does in their free time). Moreover, characteristics of mental health such as loneliness and insomnia were positively associated with use of tobacco, alcohol and illicit drugs. Not having friends was positively associated with use of tobacco and illicit drugs and negatively associated with alcohol use.  CONCLUSIONS:  The study shows the protective effect of family supervision in the use of tobacco, alcohol and drugs and, on the contrary, the increasing use of substances according to aspects of mental health, such as loneliness, insomnia and the fact of not having friends. The study's findings may support actions from health and education professionals, as well as from the government and families in order to prevent the use of these substances by adolescents.<\/jats:p>","DOI":"10.1590\/1809-4503201400050005","type":"journal-article","created":{"date-parts":[[2014,7,21]],"date-time":"2014-07-21T09:46:44Z","timestamp":1405936004000},"page":"46-61","source":"Crossref","is-referenced-by-count":33,"title":["Psychoactive substance use, family context and mental health among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)"],"prefix":"10.1590","volume":"17","author":[{"given":"Deborah Carvalho","family":"Malta","sequence":"first","affiliation":[{"name":"Ministry of Health,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryane","family":"Oliveira-Campos","sequence":"additional","affiliation":[{"name":"Ministry of Health,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio Ruscitto do","family":"Prado","sequence":"additional","affiliation":[{"name":"Ministry of Health,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvania Suely Carib\u00e9","family":"Andrade","sequence":"additional","affiliation":[{"name":"Ministry of Health,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1via Carvalho Malta de","family":"Mello","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Jos\u00e9 Ribeiro","family":"Dias","sequence":"additional","affiliation":[{"name":"Brazilian Institute of Geography and Statistics,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise Birche","family":"Bomtempo","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Social determinants of health and well-being among young people.Health Behaviour in School-aged Children (HBSC) study: international report from the 2009\/2010 survey","year":"2012"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1590\/S1415-790X2011000500017","article-title":"Fam\u00edlia e prote\u00e7\u00e3o ao uso de tabaco, \u00e1lcool e drogas em adolescentes, Pesquisa Nacional de Sa\u00fade dos Escolares","volume":"14","author":"Malta DC","year":"2011","journal-title":"Rev. Bras Epidemiol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/1471-2431-11-85","article-title":"Association between substance use and psychosocial characteristics among adolescents of the Seychelles","volume":"11","author":"Alwan H","year":"2011","journal-title":"BMC Pediatr"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1046\/j.1360-0443.2000.9512184713.x","article-title":"Psychiatric symptoms and deviance in early adolescence predict heavy alcohol use 3 years later","volume":"95","author":"Kumpulainen K","year":"2000","journal-title":"Addiction"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1590\/S0102-311X2009000200014","article-title":"Aprecia\u00e7\u00e3o de propagandas de cerveja por adolescentes: rela\u00e7\u00f5es com a exposi\u00e7\u00e3o pr\u00e9via \u00e0s mesmas e o consumo de \u00e1lcool","volume":"25","author":"Vendrame A","year":"2009","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S1054-139X(02)00507-4","article-title":"The mass media and American adolescents' health","volume":"31","author":"Brown JD","year":"2002","journal-title":"J Adolesc Health"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"e1113","DOI":"10.1542\/peds.2008-1479","article-title":"Health risk behaviors in adolescents with chronic conditions","volume":"122","author":"Suris JC","year":"2008","journal-title":"Pediatrics"},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1037\/0893-164X.14.2.174","article-title":"Parenting practices as predictors of substance use, delinquency, and aggression among urban minority youth: moderating effects of family structure and gender","volume":"14","author":"Griffin KW","year":"2000","journal-title":"Psychol Addict Behav"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1590\/S0047-20852006000400002","article-title":"Drogas: fam\u00edlias que protegem e que exp\u00f5em adolescentes ao risco","volume":"55","author":"Horta RL","year":"2006","journal-title":"J Bras Psiquiatr"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/j.1360-0443.2003.00671.x","article-title":"Drug use by Brazilian students: associations with family, psychosocial, health, demographic and behavioral characteristics","volume":"99","author":"De Micheli D","year":"2004","journal-title":"Addiction"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.drugalcdep.2005.06.001","article-title":"Alcohol use from ages 9 to 16: A cohort-sequential latent growth model","volume":"81","author":"Duncan SC","year":"2006","journal-title":"Drug Alcohol Depend"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/00004583-199601000-00017","article-title":"Impact of parent monitoring on initiation of drug use through late childhood.","volume":"35","author":"Chilcoat HD","year":"1996","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref13","series-title":"Inequalites in young people\u00b4s health.Health Behavior in School-Aged Children. International Report from the 2005-2006 survey","year":"2008"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1590\/S0101-60832009000200005","article-title":"Aspectos familiares de meninas adolescentes dependentes de \u00e1lcool e drogas","volume":"36","author":"Guimar\u00e3es AB","year":"2009","journal-title":"Rev Psiq Cl\u00edn"},{"issue":"3-4","key":"ref15","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s10464-005-8614-2","article-title":"Family protection and prevention of alcohol use among Hispanic youth at high risk","volume":"36","author":"Sale E","year":"2005","journal-title":"Am J Community Psychol"},{"key":"ref16","series-title":"Pesquisa Nacional de Sa\u00fade do Escolar - PENSE 2012","year":"2013"},{"key":"ref17","first-page":"15","article-title":"Prevalence and correlates of truancy among adolescents in Swaziland: findings from the Global School-Based Health Survey Child Adolesc Psychiatry Ment","volume":"1","author":"Siziya S","year":"2007","journal-title":"Health"},{"issue":"10","key":"ref18","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.2105\/AJPH.2006.086330","article-title":"Prevalence and correlates of substance use among high school students in South Africa and the United States","volume":"97","author":"Reddy P","year":"2007","journal-title":"Am J Public Health"},{"issue":"6","key":"ref19","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.cpr.2009.06.003","article-title":"Gender Differences in Factors Influencing Alcohol Use and Drinking Progression Among Adolescents","volume":"29","author":"Schulte MT","year":"2009","journal-title":"Clin Psychol Rev"},{"issue":"4","key":"ref20","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.ypmed.2006.12.018","article-title":"Socioeconomic correlates of smoking among an ethnically diverse sample of 8th grade adolescents in Southern California","volume":"44","author":"Unger 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Abuse"},{"issue":"1","key":"ref24","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1037\/a0018497","article-title":"Associations between family structure, family functioning, and substance use among Hispanic\/Latino adolescents","volume":"24","author":"Wagner KD","year":"2010","journal-title":"Psychol Addict Behav"},{"issue":"4","key":"ref25","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/j.1746-1561.2006.00081.x","article-title":"Comparison of smoking, drinking, and marijuana use between students present or absent on the day of a school-based survey","volume":"76","author":"Bovet P","year":"2006","journal-title":"J Sch Health"},{"issue":"2","key":"ref26","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1590\/S0034-89102004000200018","article-title":"Uso de drogas psicotr\u00f3picas por estudantes: preval\u00eancia e fatores sociais associados","volume":"38","author":"Soldera M","year":"2004","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"9","key":"ref27","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1590\/S0102-311X2012000900011","article-title":"Rela\u00e7\u00e3o entre viol\u00eancia f\u00edsica, consumo de \u00e1lcool e outras drogas e bullying entre adolescentes escolares brasileiros","volume":"28","author":"Andrade SS","year":"2012","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"3","key":"ref28","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1093\/jpepsy\/26.3.131","article-title":"Adolescent peer crowd affiliation: linkages with health-risk behaviors and close friendships","volume":"26","author":"La Greca AM","year":"2001","journal-title":"J Pediatr Psychol"},{"issue":"4","key":"ref29","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1037\/0021-843X.99.4.349","article-title":"Peer-group association and adolescent tobacco use","volume":"99","author":"Sussman S","year":"1990","journal-title":"J Abnorm 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